354 Miscellaneous. 
more severe than at others, but it never entirely left. This pain 
was described as preventing hearing and breathing, and so excru- 
ciating that at intervals, day and night, her cries could be heard at 
a great distance from the house. Tuesday evening blood-mucus 
began to run from the right nostril, which was somewhat swollen, 
the swelling extending on Tuesday over the whole right side of the 
face. On this day, the fifth of the complaint, four large maggots 
dropped out of the right nostril. When I was first called to the 
patient, Monday, October 4, only the right lip and nostril were 
swollen, the acrid discharge having somewhat blistered the lips 
below: After each discharge the maggots dropped from the nostril, 
until the twelfth day; one hundred and forty or more maggots 
haying escaped. The majority of the maggots were three fourths of 
an inch in length, there being only a few which seemed a line or 
two shorter; they were of a yellow hue, conical shape, and haying 
attached to one end two horn-like hooks. The patient recovered 
fully. 
Monday, September 18, 1882, I saw a patient in the same neigh- 
bourhood as the first, suffering from the same malady. At that 
time two hundred and eighty maggots had been discharged, and at 
the close of the illness over three hundred. There was a swelling 
on each side of the nose, with a small opening to each. I lanced 
these openings and more maggots came out. 
In the Indian Territory the so-called screw-fly laid its eggs in the 
nose of man. In 1847 [heard of several deaths of men and children 
in Texas, near Dallas. The gad-fly was common in the American 
Bottom forty years ago. It laid its eggs in the noses of cattle and 
in the ears of horses and deer, but never in the human nose. The 
fly that I send is about four times as large as the common fly. 
Head a dark, glistening green; a bronze face, very lively in appear- 
ance. Is it the same that they called in Texas or Indian Territory 
the screw-fly ? or is it the gad-fly seeking a new field? 
The patient of 1875 is now alive and well. The second case oc- 
curred two years ago near Collinsville, in this county, and proved 
fatal. The third patient above named is getting well. The fourth 
is reported from Georgia; the patient died. 
The first case which I had under my charge was the first which 
ever occurred here. The eggs must have been deposited in the nose 
several days before the fifth, the day the maggots dropped out. 
On the eleventh day all were discharged. I secured live maggots 
at that time, September 18, 1882. I put soil in an open-mouthed 
vial and dropped the maggots on it; they crawled in the ground in 
about five minutes. I covered the opening with white damastis and 
hoped that the next year the fly would come out of the ground. 
But on October 6, or the twentieth day, the vial had fourteen living 
flies. So, reckoning from six days before the pain commenced for 
the laying of the eggs, to the twelfth day, when the maggot dis- 
charged, making eighteen days, and to this adding the twenty days 
during which the grubs were in the ground, we have thirty-eight 
